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Crohn's Disease Forum » Treatment » Question about Imuran and Mesalamine.


11-26-2017, 10:21 AM   #1
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Question about Imuran and Mesalamine.

Hello everyone, I apologize in advance if my question has been already answered somewhere else, I am 29 years old with Crohn's I was diagnosed at 14 and between 2003 and 2014 was treated with Imuran and Mesalamine since then I have been on Remicade but want to stop it due to side effects. My question is would Imuran and Mesalamine work if I go back to them or my body would likely not respond to treatment and I would have to look into other meds? Hopefully, someone can answer me, Thanks.
11-26-2017, 01:03 PM   #2
ronroush7
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Hi. I would not stop Remicade without first consulting wuth a doctor. Your condition may worsen. Tell him of your fears.
11-26-2017, 01:42 PM   #3
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Thanks Ron I have talked to my doctor and have scheduled my last infusion already , and I know the risk of my condition getting worse I am just debating whether Imuran and Mesalamine would work again after being off of them for 4 years.
11-26-2017, 02:35 PM   #4
ronroush7
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Thanks Ron I have talked to my doctor and have scheduled my last infusion already , and I know the risk of my condition getting worse I am just debating whether Imuran and Mesalamine would work again after being off of them for 4 years.
Best to you. Keep us appraised of how you are doing.

11-27-2017, 10:30 AM   #5
eleanor_rigby
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Yes they could work - you don't build up antibodies to them like you do with biologics so you can stop and start them. However, they may not work for you given that I'm assuming they failed for you before since you needed to start remicade?
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History:
2nd Generation affected

Symptoms since 08/2006 (age 17)

Emergency open bowel resection after perforation in 12/2011 (age 22) (wrongly diagnosed as burst appendix ). Three years remission following this unmonitored

Diagnosis:
Perforating small bowel Crohn's Disease 01/2016 (terminal ileum, duodenum)
Coeliac disease (age 26)

Meds:
50mg azathioprine (down from 75mg after my WBC dropped)
Gluten-free diet
11-27-2017, 03:27 PM   #6
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Yes they could work - you don't build up antibodies to them like you do with biologics so you can stop and start them. However, they may not work for you given that I'm assuming they failed for you before since you needed to start remicade?
Hey Eleanor, actually, they never failed but my doctors said that I have been on them for too long and there is a chance of cancer. I have actually been feeling worse on Remicade my immune system has literally crashed I have since had a relapse with coagulated blood then pneumonia and c difficile and now I have a severe skin infection that I treat with Clobetasol.
11-27-2017, 03:34 PM   #7
my little penguin
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The risk of cancer doesn’t go away if you restart them
That said most work again when restarted
Remicade will probably not work again if stopped imuran and 5-aza combo also suppress the immune system
Some get just as many infections
So please take care
For others
Restarted the meds just doesn’t work
It’s all very individual

Have you looked at methotrexate and 5–asa?
Ped GI tend to lean towards theses now vs imuran
Simply to lower the risk of lymphoma

Might be worth asking

Good luck

Hope you get better
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DS - -Crohn's -Stelara -mtx-IVIG
11-27-2017, 03:47 PM   #8
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I have never taken Methotrexate but will have it in mind, Thanks!
11-27-2017, 04:04 PM   #9
my little penguin
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Ds currently takes mtx
It can cause mouth ulcers and flu like symptoms
But if you take folic acid that seems to help
He doesn’t tolerate injection form of mtx
Makes him have the flu for almost a week
Tabletshe is ok with
Other kids tablets make them sick and injections are ok

He takes 1 mgof folic acid twice a day including shot day

Hope that helps
11-27-2017, 05:18 PM   #10
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Would MTX work by itself for Crohns or it has to be combined? Sorry I have never heard anything about this medication before.

p.s also has anyone in this forum had experience with nuga best products for the immune system is it worth buying?
http://www.nuga-best.co.uk/products/NM-90.asp
11-27-2017, 05:43 PM   #11
my little penguin
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Mtx can be used as a monotherapy
We tried this for ds when he first failed 6-mp (it went to his liver )
For him every time we lowered pred he would get vasculitis
So after 12 weeks of mtx
He was switched to remicade

Once in humira
He added mtx for his arthritis

There are a lot of kids on the parents forum
More than a few are on mtx by itself
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